HomeMy WebLinkAbout1005 FOXGLOVE VW; ; CB013761; PermitCity of Carlsbad
1635 Faraday Av Carlsbad, CA 92008
12-06-2001 Miscellaneous Permit Permit No:CB013761
Building Inspection Request Line (760) 602-2725
Job Address:
Permit Type:
Parcel No:
Valuation:
Reference #:
Project Title:
1005 FOXGLOVE VIEW CBAD
MISC Subtype:
2144102200 Lot#:
$9,273.00
FALLET -REROOF 3300 SF
LITE WEIGHT TILE #4660
RE ROOF
0
Owner:
Status:
Applied:
Entered By:
Plan Approved:
Issued:
Inspect Area:
ISSUED
12/06/2001
JM
12/06/2001
12/06/2001
Applicant:
SECURE ROOF INC FALLET THIERRY R
7356 TRADE ST
SAN DIEGO CA 92121
800 338-6868
Total Fees: $166.00
Miscelaneous Fee #1
Miscelaneous Fee #2
Additional Fees
TOTAL PERMIT FEES
Inspector:
1005 FOXGLOVE VW
CARLSBAD CA 92009
Total Payments To Date: $0.00
PERMIT
FINAL APPROVAL
6007 12/06/01 0002 01 02
CGP 166.00
Balance Due: $166.00
$166.00
$0.00
$0.00
$166.00
Date: P,P'/&!;:I Clearance: ------
NOTICE: Please take NOTICE that approval of your project includes the "Imposition" of fees, dedications, reservations, or other exactions hereafter collectively
referred to as "fees/exactions." You have 90 days from the date this permn was issued to protest imposition of these fees/exactions. If you protest them, you must
follow the protest procedures set forth in Government Code Section 66020(a), and file the protest and any other required information with the City Manager for
processing in accordance with Ca~sbad Municipal Code Section 3.32.030. Failure to timely follow that procedure will bar any subsequent legal action to attack,
review, set aside, void, or annul their imposition.
You are hereby FURTHER NOTIFIED that your right to protest the specified fees/exactions DOES NOT APPLY to water and sewer connection fees and capactiy
changes, nor planning, zoning, grading or other similar application processing or service fees in connection with this pro}ect. NOR DOES IT APPLY to any
fees/exactions of which "OU have nreviousl" been niven a NOTICE similar to this or as to which the statute of limitations has nreviousl" otherwise exnired.
PERMIT APPLICATION
FOR OFFICE USE ONL v 1 6 I
PLAN CHECK NoC/ZO 3 7
CITY OF CARLSBAD BUILDING DEPARTMENT
1635 Faraday Ave., Carlsbad, CA 92008
Validated By_'-'-...__.~...,....r-t-r-,....,---t--
Date.~------4-L~__._'f-J..L.J--~
1 • PRO)l~JNf_QflM~'tlO ·
1005 \"'OX 61o\J€.
Address (include Bldg/Suite #)
, ·~.;
Vw
Business Name (at this address)
Legal Description Lot No. Subdivision Name/Number Unit No. Phase No. Total # of units
Proposed Use 2
# of Bedrooms # of Bathrooms
Name State/Zip Telephone# Fax#
City State/Zip Telephone#
~i?ltll>N~T~{li!.MJ!Attl.YMA.MJ ' ''.0 lll\ii '': " ~ ')li'l~· ~~ ~,·t· ' '
(Sec. 7031.6 Business and Professions Code: Any City or County which requires a permit to construct, alter, improve, demolish or repair eny structure, prior to its
issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provisions of the Contractor's license Law
[Chapter 9, commending with Section 7000 of Division 3 of the Business and Professions Code) or that he is exempt therefrom, and the basis for the alleged
exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars [$5001).
S~Cilil?E Roof 'J:i-lc.. ,'35!e ·r,2Aoe: ST , SD CA 9:Z.121 (gsS)t,q;l-'11.?t,5
Name Address City State/Zip Telephone #
State License # 5 OJ O 't> 3 4 License Class C 3 :' City Business License # I~ 6 3 (e6 ?,
Designer Name Address City State/Zip Telephone
State License # ~ W.QRKIR~;::QQ~-~-~::e;;ifll:;,;.SA'.~:fij;;::Q:;-N;:;, ;;;;,;;;.:,.,...~""q', ,. · ,1"'~','• • ·11,€,; .;. •.
Workers' Compensation Declaration: I hereby affirm under penalty of perjury one of the following declarations:
0 I have and will maintain a certificate of consent to self-insure for workers' compensation as provided by Section 3700 of the Labor Code, for the performance
of the work for which this permit is issued.
(3'. I have and will maintain workers' compensation, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
issued. My worker's compensation insurance carrier and policy number are:
Insurance Company 6TA-} £ £\1 ll,} (:) Policy No.~"3514 ~ l6 0 I
(THIS SECTION NEED NOT BE COMPLETED IF THE PERMIT IS FOR ONE HUNDRED DOLLARS [$1001 OR LESS)
Expiration Date __ /_-_/_-_0_2 __ _
0 CERTIFICATE OF EXEMPTION: I certify that in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as
to become subject to the Workers' Compensation Laws of California.
WARNING: Fallura to secure workers' compensation coverage la unlawful, and shall aubject an employer to crlmlnal penalties and civll fines up to one hundred
thousand dollar• ($100,000), in addition to the coat of compensation, damages as provided for In Section 3706 of the Labor code, Interest and attorney's fees.
SIGNATURE DATE /2 /t, /0 I
t"?. ·ID'ti,l.f.liiiwil>Dlier ~·-:.ttQ mwa,E,~~~ '"'"1;m:!'!~: .. ~:~~-'1i:Hr~~., ,, .. : ,~
I heieby affirm that I am exempt from the Contractor's License Law for the following reason:
0 I, as owner of the property or my employees with wages as their sole compensation, will do the work and the structure is not intended or offered for sale
(Sec. 7044, Busin11ss and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or Improves thereon, and who does
such work himself or through his own employees, provided that such Improvements are not intended or offered for sale. If, however, the building or improvement is
sold within one year of completion, the own"r·bullder will have the burden of proving that he did not build or improve for the purpose of salel.
0 I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The
Contractor's License Law does not apply to an owner of property who builds or improves thereon, and contracts for such projects with contractor(s) licensed
pursuant to th11 Contractor's License Law).
0 I am exempt under Section ------Business and Professions Code for this reason:
1. I personally plan to provide the major labor and materials for construction of the proposed property improvement. 0 YES ONO
2. I (have I have not) signed an application for a building permit for the proposed work.
3. I have contracted .with the following person (firm) to provide the proposed construction (include name I address I phone number I contractors license number):
4. I plan to provide portions of the work, but I have hired the following person to coordinate, supervise and provide the major work (include name I address I phone number I contractors license number):. _____________________________________________ _
6. • I will provide some of the work, but I have contracted (hired) the following persons to provide the work Indicated !include name I address I phone number I type of work):. _______________________________________________________ _
PROPERTY OWNER SIGNATURE
f9_Q~_ttt[$iiJ;QDQt£eQ&]~-.~-~--!fi:-. -f:m;j-. -, l\l-~-,-,-J',,-A!B.1-"'.-ffl-"MiJ:-,--'$}?-O-~-,'/'-.-•. -. _r_u;_;~-,-.t-"':11-~-,e.-.,.j-',r:~"' • ,:i':/, I ~t
Is the applicant or future building occupant required to submit a business plan, acutely hazardous materials registration form or risk management and prevention
program under Sections 26606. 26633 or 26634 of the Presley-Tanner Hazardous Substance Account Act? 0 YES O NO ,
Is the applicant or future building occupant required to obtain a permit from the air pollution control district or air quality management district? O YES O NO
Is the facility to be constructed within 1,000 feet of the outer boundary of a school site 1 0 YES O NO
IF ANY OF THE ANSWERS ARE YES. A FINAL CERTIFICATE OF OCCUPANCY MAY NOT BE ISSUED UNLESS THE APPLICANT HAS MET OR IS MEETING THE
REQUIREMENTS OF THE OFFICE OF EMERGENCY SERVICES AND THE AIR POLLUTION CONTROL DISTRICT.
[I ··~-U~~tmrAG ·c . ~v~~'r,~~~ "·t,; ,1·' " ",· ii!fi.:,
I hereby affirm that there Is a construction lending agency for the performance of the work for which this permit is issued (Sec. 3097(1) Civil Code).
LENDER·s NAME LENDER'S ADDRESS-------------------------~-· l~:'iiiiin:fi. lEL~tc· tirn~,'K>~!il··i, m?Biffiziji:~~ ·1'':'ll{'mf;l"',-1"':'.,,~_.~,, ····
I certify that I have reed the application and state that the above Information is correct and that the information on the plans is accurate. I agree to comply with all
City ordinances and State laws relating to building construction. I hereby authorize representatives of the Citt of Carlsbad to enter upon the above mentioned
property for Inspection purposes. I ALSO AGREE TO SAVE, INDEMNIFY AND KEEP HARMLESS THE CITY OF CARLSBAD AGAINST ALL LIABILITIES,
JUDGMENTS, COSTS AND EXPENSES WHICH MAY IN ANY WAY ACCRUE AGAINST SAID CITY IN CONSEQUENCE OF THE GRANTING OF THIS PERMIT.
OSHA: An OSHA permit Is required for excavations over 6'0" deep and demolition or construction of structures over 3 stories in height.
EXPIRATION: Every permit issued by the building Official under the provisions of this Code shall expire by limitation and become null and void If the building or work
authorized by such permit Is not commenced within 180 days from the date of such permit or If the building or work authorized by such permit Is suspended or abandoned
at any !lme after the work Is comma ced for a period of 180 days (Sec!lon 106.4.4 Unilorm Building Code).
DATE _ _,,_I ,.,.']._-__ & ___ -_ll-'-1 ____ _
PINK: Finance
I
City Of Carlsbad
SUPPLEMENTAL BUILDING PERMIT APPLICATION FOR REROOFING
1. JOB ADDRESS: /~os Fox Cltv~
2. TYPE OF BUILDING: RESIDENTIAL X' COMMERCIAL. __ __.
3. ROOF SLOPE: RISE t inches in 12 inches
4. NUMBER OF EXISTING ROOF COVERING (circle one) Q 2 3
5. TYPE OF EXISTING ROOF COVERING 5Hfl'.t't SHEATHING •
*6. NEW ROOF MATERIAL\,qot;jt;"' CLASS__tt_WEIGHT PER SQUARE
7. -NUMBER OF SQUARES 33 ---'=--~
8. TRADE NAME (qc,ltbfe /ML t,9,;/t"MANUFACTURER'--£.q--'--!..q.;...:/ ~::.._.. __ ___,_
9. ROOF SYSTEM LISTING UL No. ICBO No. t.({dt,1)
10. IS THE EXISTING STRUCTURAL DESIGN SUFFICIENT TO SUSTAIN THE
WEIGHT OF THE PROPOSED ROOF? §) NO
All roof coverings are required to be CLASS A. Combustible roof coverings
of any type or classification are prohibited.
I understand the following inspections are required: :,,
" 1. Tear Off/Pre-inspection prior to instalf'new roof covering.
2. Final Inspection
I agree to provide a ladder extending at least 2 rungs above the roof for
inspection.
Signatu,e &J"ry-r,J., Date 1'2, /6 /p I
Contractor )<} Owner Contractor Na111e ______ _
*6 -Rolled Roofing, Standard/Lite Tile, Asphalt/Comp Fiberglass, Built up,
Other.
City of Carlsbad Bldg Inspection Request
For: 12/21/2001
Permit# CB013761
Title: FALLET • REROOF 3300 SF
Description: LITE WEIGHT TILE #4660
Type:MISC Sub Type: REROOF
Job Address: 1005 FOXGLOVE VIEW
Lot O
11
'J
7
,. eb
APPLICANT SECURE ROOF INC ;
Suite:
Location:
f)tlP'' Remarks:
Owner: FALLET THIERRY R 0,.,
Total Time:
CD Description
19 Final Structural
Act Comments A£~
Associated PCRs
Inspection History
Date Description
12/14/2001 15 Roof/Reroof
12/13/2001 15 Roof/Reroof
Act lnsp Comments
AP JC
AP JC
Inspector Assignment: JC ---
Phone: 8586937663
·"'( /1 Inspector: v _ L.,...--~~~-
Requested By: TAMI
Entered j})t;·CHRISfl